Section 368.204 - Process for Service Initiation(a) A LIDDA must comply with § 303.302 of this title (relating to LIDDA, LMHA, and LBHA Responsibilities Related to the PASRR Process).(b) At the initial IDT meeting, the habilitation coordinator, in conjunction with the IDT, must: (1) review the IHSS recommended on the PE and identify which IHSS:(A) the designated resident, or LAR on the designated resident's behalf, wants to receive; and(B) the IDT agrees the designated resident should receive;(2) verify that identified IHSS are required by the designated resident's NF baseline or comprehensive care plan; and(3) develop an HSP in accordance with § 303.601(b)(2) of this title (relating to Habilitation Coordination for a Designated Resident).(c) Within seven calendar days of receiving the designated resident's NF baseline or comprehensive care plan in accordance with § 368.203(a)(5) of this subchapter (relating to Process for Provider Selection), the service provider agency must: (1) ensure an individual service provider who meets the qualifications in § 368.406 of this chapter (relating to Provider Qualifications) completes an assessment for each IHSS on the NF baseline or comprehensive care plan, using HHSC forms; and(2) send each assessment to the habilitation coordinator.(d) The habilitation coordinator must:(1) within 14 calendar days of sending the designated resident's NF baseline or comprehensive care plan to the service provider agency, convene an SPT meeting to: (A) discuss the assessments and recommended frequency, amount, and duration for each IHSS for which an assessment was conducted;(B) develop an initial plan of care, using HHSC forms, in accordance with § 368.301 of this chapter (relating to Plan of Care) and HHSC's IDD PASRR Handbook; and(C) revise the HSP in accordance with § 368.302 of this chapter (relating to Renewal and Revision of a Plan of Care);(2) ensure all required parties sign and date the initial plan of care in accordance with form instructions; and(3) submit the initial plan of care, including all assessments, to HHSC within three business days after the SPT meeting and:(A) retain the original initial plan of care in the designated resident's LIDDA record; and(B) send a copy of the initial plan of care to each member of the SPT.(e) If HHSC denies an IHSS for a designated resident, HHSC implements the fair hearings process in accordance with § 368.602 of this chapter (relating to Fair Hearings).(f) If HHSC authorizes an IHSS for a designated resident, the service provider agency must initiate IHSS in accordance with § 368.401 of this chapter (relating to Service Initiation and Delivery).26 Tex. Admin. Code § 368.204
Adopted by Texas Register, Volume 46, Number 28, July 9, 2021, TexReg 4159, eff. 9/1/2021